Individual
DR. MARK CHRISTOPHER SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 MEDICAL CENTER DR, DHMC OTOLARYNGOLOGY, LEBANON, NH 03756-1000
(603) 650-8123
Mailing address
1 MEDICAL CENTER DR, DHMC OTOLARYNGOLOGY, LEBANON, NH 03756-1000
(603) 650-8123
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
13079
NH
207YP0228X
Pediatric Otolaryngology Physician
13079
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1012791
—
VT
05
—
30206148
—
NH
Enumeration date
07/26/2006
Last updated
08/08/2011
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